No appropriate clinical management for intervertebral disc prolapse | SOP Information, SOPs and Supporting Information – alphabetic listing, H to L, Intervertebral Disc Prolapse N043, Factors in CCPS as at 16 September 2011 (N043)

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No appropriate clinical management for intervertebral disc prolapse

Document
Last amended 
18 June 2015

Intervertebral disc prolapse - Inability to obtain appropriate clinical management for intervertebral disc prolapse Factor

Heat and analgesics may be applied, and exercises to strengthen muscles; but there are 4 ways of treating the prolapse itself:

  • Rest - bed rest with hips and knees slightly flexed, anti-inflammatory drugs, and perhaps a spinal corset.
  • Reduction - continuous bed rest and traction for 2 weeks; if no improvement then an epidural injection of corticosteroid and local anaesthetic may help.
  •  Removal - operative removal of the disc is usually indicated if conservative treatment is unsuccessful. Partial laminectomy is one type of operation.
  • Rehabilitation - teaching isometric exercises and how to lie, sit, bend and lift with the least strain. Ideally an education programme in a "back school" should be available.

Inability to obtain appropriate clinical management

Last reviewed for CCPS  16 September 2011.

Investigative Documents
Type Title PDF Format Word Format
Medical Report
Inability to Obtain Appropriate Clinical Management
GQACM.pdf
GQACM.docx
Preliminary questions [25189]

11109  the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.

7066     there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

7378     the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.

7379     the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration.

11234   the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.

11235  the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.

or

11236  the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.

Clinical worsening and operational service [11235]

7384     the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service.

21084 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service.

7387     the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.

or

7389     the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.

7390     the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.

7392     the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.

Clinical worsening and eligible service [11236]

7385     the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service.

7386     the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service.

7388     the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.

or

7389     the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.

7391     the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.

7393     the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.